HomeMy WebLinkAboutBuilding Permit 07-0911
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/f4QqL, t-I~dC1l
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
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DATE TIME
lor-c7?
7-11/
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~RK~L FOR REINSPECTION BEFORE COVERING
Inspector: f W./ Owner/Contr:
I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSliOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
(Please type or print and sign at bottom)
ADDRESS
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CITY OF PRIOR LAKE BUILDING fERMII,
TEMPORARY CERTIFICA TE OF ZOlYCNG COl'tlPLCANCE
AND UTILITY CONNECTION PERMIT
I White File
2, Pink City
3. Vellow Applicant
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LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
....JOe.. UJllI~_
"
!LfLl?:2 GIVldale
(Phone)
(Address)
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BUILDER ,/L .
(Name) rr:P--L)L ~O H/13
(Contact Name) ~ /ttJ; [;
(Address) ,?/fLj OX ,ba L);(/~
TYPE OF WORK
o Mise,
95.2 rJ9 )//1/9
&/.2 -a()9- 77(., /
,~U- [)~~_ /)}AI-- ~
'\gle-ROOfing
~ation
(Phone)
(Phone)
o New Construction
DDeck
o Porch
D~\t l\tC ~
7.1.~""7
PERMIT NO. (j7, 0911
ZONING (office use)
PID
962 -L/q-;1- yo q
ORe-Siding
OUtiIity Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct, I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted PI~~~ro~:~ that the building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter upon th~~fOrm needed inspections
X ~S~gn:::;r-- -::tr~~s~i~:::~,7 7'~ 2t;e c)7
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
OLower Level Finish
o Fireplace
OAddition
PROJECT COST IV ALUE (excluding land) S
$
$
$
$
$
$
$
$
Park Support Fee
SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
-
7~ -:-
fl. z,lf. J 1
Building Official
Date
# $
# $
$
$
# $
# $
$
$
/) $ -If,. (/ cJ
I / sl"G 1
Rb(eipt No.
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This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issued,
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245